Several causes of acute pericarditis.
Idiopathic, most common.
Now, that’s unfortunate. Because when you say
idiopathic then all that you’re relying upon
will be the symptoms of your patient.
And what’s the patient telling you?
“Hey doc, when I lean back, you know, I just got this
amazing recliner and which I’m watching, you know, football.
And when I lean back, my goodness it just it hurts so much.
And I find myself leaning forward immediately.”
And by doing that, you are separating a layers of pericardium.
And so therefore, will leaving some of that pain
and upon expiration even more so.
Pericarditis, like we saw earlier what
myocarditis viruses, TB perhaps.
SLEs, scleroderma, rheumatoid arthritis.
Now, you can put all these together with
SLE and scleroderma, rheumatoid arthritis.
Remember, with autoimmune disorder, your pretty
much entire body is vulnerable to disease.
Maybe the heart, maybe the kidney,
maybe the liver so on so forth.
Uremia, what does that mean to you?
Uremia means renal failure.
Okay, can you measure uremia?
No. And we’ll take a look at that later on in nephrology.
When uremia would mean a clinical manifestations as you,
as a doctor, would then find in your patient.
For example, something like your anemia. Okay.
So, uremia what kind of pericarditis [0:03:40.8].
We’ll get in that in a bit.
With acute pericarditis, if you take a look at
the pericardium here. It’s become inflamed.
Not a good thing.
And so, therefore, what kind of issues might
you be looking for in your patient?
It’s restricted, restricted.
Because the pericardium is now causing or for the most part,
incasing the heart. Preventing further expansion.
And so therefore, based on the ended information,
you try to listen to your heart.
It doesn’t wanna speak to you because
it’s being muffled. Is that clear?
Cause you try to listen, but makes
it more difficult. Or you do an EKG?
What you’re doing in EKG, you are measuring the article activity
of the heart by placing electrodes on top of your chest.
But if have information like this, you’ll get low amplitude.
What else mush you find? Well, let’s continue.